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School of Doc: Pearls for a Smooth Transition from Student Doc to Professional Doc

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Alan Glazier

on 17 January 2018

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Transcript of School of Doc: Pearls for a Smooth Transition from Student Doc to Professional Doc

School of Doc!!
Accumulating Information Online
A.K.A. Graduation's Tomorrow . . . Then What?!
Paying Your Dues!
Looking for a Job
Private Practice
Commercial Practice
Big Box
HMO
Hospital Based Practice
Ophthalmology
LASIK Centers
Non-Clinical Optometry
Academia
Consultative
Entrepreneurial - Start Your Own Gig!
The "How"
Do's:
Use Interviewers Name
Stay Focused and On Topic
Exude Confidence
Be Genuine
Focus on Your Value as a Young OD
Thank the Interviewer
The "What" aka The "Job"
.....But Think Before You Spend!!!
Try to Think Like Your Employer.....
One Day That Perspective May Be Yours
Employer Expectations
Restrictive Covenants/Non-Competes
Confidentiality Agreements
. . . Just sign riiigggghhttt here . . .
Be sure to ask what is expected of you, if anything, beyond clinical care
Get Job Description Clearly Defined in Writing
DO NOT sign a non-compete; confidentiality agreement without a restrictive covenant is OK to sign
At-Will Employee Advice
If You Choose to Own Your Own Business, You Need Time to Learn the Business of Optometry
Owning Your Own Business . . .
Where
- Geography or locality
What
- Mode of practice; is it the modality you saw yourself practicing in?
How
- Does an opportunity for partnership exist? Do you even care? How do you approach this?
When
- When is the right time?
Decisions, Decisions, Decisions
....and How to Make Them
Most of You, after graduating Will NEVER
Measure another NRA/PRA
Measure accommodative facility
Do a push-up amplitude

SHOCKER!!!!
See 15+ CEE per day minimum each in 20 minutes or less, WITH dilation and EO
Pay down debt AND eat at the same time
Avoid business mistakes
Enhance business success
Earn
When You are an OD You Will Need to
Clinical practice realities in the working world
are much different than at your schools clinical
institutes or your rotations . . . .
Keep Patients Waiting
Consult With Another Doctor In Front of Patients
Reference Manuals or Goo in Front of the Patient
Appear Insecure or Unsure of Yourself
Be Late to Clinic
We Know What Goes on at Your Schools Clinic,
But In Most Job Positions It's Not OK to . ..
DEBT!!!!!!
Your Employer Will Actually Expect You to Know
How to Fit Contact Lenses!!!
YET ANOTHER SHOCKER!!!


You May NEVER use an
Optical Cross again!!!
Shocker #2!!!
"LARS" and "SAM FAP" are Much More Relevant to Daily Practice Then Knowing How to Treat Filamentary Keratitis . . . .
"I think that a lot of the times as students we think in pieces so it's important to piece everything together. Correlating what you learn in class to what you see in clinic is hard for students because a lot of them are so focused on making good grades that they forget how important clinical skills are."
Alma Hernandez, OD
U of Houston 2008
Experience Needed

Study Marketing

Don't Be Afraid to Make Mistakes, Just Be Prepared to Learn From Them

Ask, Ask, Ask

Befriend Several Bankers
Considering Starting Your Own Practice?
- LinkedIn
- ODs on facebook
- AOA Resources
- NewGradOptometry.com
Your Patients Don't Know What Your Grades Were . .
Most of Them Don't Even Know You're Not a "Moly"!!
They Don't Know if You Are A Good Doctor or a Bad Doctor

Their Only Gauge of Your Competence is if You Meet Their Needs
Get Your Customer Service Mojo On!
EMR
Retinal Imaging
Add a Specialty
"Boldly Go Where No Associate Has Gone Before"
Willingness to Be On Call
Willingness to Add On Managerial Duties

Sell 'em on Abilities . . .
Youbetcha, but first . . . .
Lawyer Up?
Determine What Salary to Ask For By Creating Your "Life Budget"
Determine Frequency of Pay (Weekly, Monthly etc)
Consider Asking for Production Based Incentive
Raises
Production Bonuses
Vacation
Malpractice Ins
Disability
Life Ins
General Liability
Retirement
Work Schedule
Professional Dues
CE
Medical Insurance
Clauses
Is This Really The Opportunity For You?
Know When to Walk away
The Interview!!!
Jan Jurkus, OD OM 9/1/05
Don'ts
Bring Up Salary/Benefits
Be Negative on Anything
Give the Impression You're Shopping Around
Jan Jurkus, OD, MBA OM 9/1/05
Numbers Game
3-5 Years of Tax Returns
Lease Agreements and Other Legal Docs
Office Docs/Appointment Books
Explanations of Unusual Business Practices/Erratic Spending Patterns
Appraisals on Both Sides
Downward Trends/Red Flags
Bookkeeping/Tax Discrepancies
Beware of "Selling" Potential
Mediocrity
Buying A Practice
ax
Gary Gerber, OM 9/05
. . . Evolves from Experience and Confidence
Clinical Job Performance
Dan Beck, OD OM 9/05
Don't "Instill and Chill"
Don't Examine Same Structure Twice
Utilize Staff Efficiently
Mantra - Thorough, Friendly and FAST
Dan Beck OD OM 9/05
Educate Your Patients
Offer Options/Alternatives
Show You Care
Pick Up the Phone
Write Letters
The "R" Word - Relationships
Success in Practice =
Differentiation X Patient Experience
Steven Cohen OD OM 11/05
Consider Your Time; Consider Living Close to Where You Work
You Spend Time In Your Home Community,
Why Not Make It Your Work Community Too
Short Commute -
Commuting/Being Far Away = Uneccessary Stress and Unhappiness
Better Networking Opportunities
Much Easier to Provide Urgent Services
Not Worth Risking Not Liking New Area -
Grass Always Seems Greener
Putting Down "Roots" = More Business
Location, Location, Location
K. Kerksick, OD OM 11/05
Meet MD/OD Colleagues
Join Chamber of Commerce
Be Vocal About Your Career
Community Service
Social Media
Market Yourself - Kiss Some Babies
Think Like the Lenders Think
Run it By Your Accountant
Base Assumptions on Facts, Not Speculation
Make Projections Based on Research
Utilize Chamber of Commerce
Plan (As in Business Plan)
Services/Products You Plan on Profiting From
Consumer Benefits of Visiting Your Business
Summarize Your Accomplishments To Date
Discuss Capital Needs
Present Facts of Eye Care Market and Future Growth
Identify Market Niche
Job Titles and Duties of Staff
Fee Schedule and Mark-Up Formulas
Description of Proposed Recall System
Personal Financial Statement
Practice Financial Statement
Income and Expense Data
Include:
Neil Gailmard, OD, MBA OM 3/06
Someone.....
Who Takes "Ownership" in the Practice
Who Goes the Extra Mile
Who Takes the Time to Understand What It Means to "Pound the Pavement"
Who Understands The Business Takes Care of the Patients
Professionalism and Ambition
What an Employer Looks for

Optometry Career Center on AOA WS
State Associations
Industry Reps
Local Optometry Meetings
Online Networking
Conferences
Vision Expo Career Get-Togethers
Kim Ocampo OM 3/06
Traditional Employee?
Contracted Optometrist?
Know Your Liability Day One
BE READY AT TAX TIME!!
If You Work Two Jobs, File Taxes Based on TOTAL
Salary at BOTH Jobs W-4; Witholding Based on TOTAL Salary
"If You're a Good Doctor, You Can Practice Where
You Want to Live, Even If The Area is Saturated.
Patients Will Find the Good Doctors".
MYTH: You Can't Open Up a Practice in a Saturated Area
Jamie J. Casper, OD OM 5/07

Reference Geographic/Demographic Data (Chamber of Commerce, Commercial Real Estate Salespeople, Developers)
Think Zip Code
Think Convenience and Population
Dan Beck, OD OM 4/09
Follow Your Passion
Know Your Area/Patient Base
Consider Competition
Consider Economic and Industry Trends
Go All Out or Don't Bother
Career Decisions - Specialty Practice
Janice Jurkus, OD MBA OM 6/09

DON'T Be the One Wearing the Lampshade
DO Have Regular Meetings With Your Employer
DO Act Professional at All Times
DO NOT Friend Staff on Social Media
BALANCE Leadership and Friendship
Career Decisions - Around the Office
SAVE FOR RETIREMENT IMMEDIATELY!!!
"I Would Have Stopped Working for a Commercial Chain Sooner and Started My Own Practice"
"I Would Have Used a Different Marketing Strategy to Grow My Practice"
"I Would Have Increased My Networking Efforts"
HINDSIGHT
Bob Levoy, OD OM 11/10
Embrace it!!!!
Normal Course of Business
Cost of Doing Business
Marry it to a Budget
Good Debt........It's Not Bad!!!!
"One Door" States
Optometrists located inside retail stores are not required to separate their offices from the retailer

Independent ODs Share an Entrance With Store
Are Considered Part of the Host Store
Legally OD is Affiliated with the Host Store

"Two Door" States
Optometrists located inside retail stores must separate their offices from the retailer

Must Maintain an Entrance Separate From Commercial Store
Considered Separate Legal Entity
Must Obtain Own Insurance, Telephone, Staff etc.
For Commercial Practice,
Know Your States "Door" Laws
It's Not Just About Patient Care, It's About The Person in the Chair Care"
Summing it Up
Alan Glazier, OD, FAAO
Be Confident Without Condescension
Be Patient
Listen and Appear To Listen
Express Concern Regularly
Follow Up
Be Available
Dan Beck, OD OM 3/05
"Big Box" Doesn't Indicate "Small Scope"
Repayment Options - Talk to a Financial Counselor
Loan Consolidation - Can Extend Repayment Period
IRS Lifetime Learning Benefit and Student Loan Interest Deductions
Homework
Join the AOA - Support Your Professions Advocacy Efforts at Federal and State Level
Talk to Your Legistlator Patients About Your Medical Education
Join "ODs on Facebook"
Add Your Friends and New First Years
"Friend" Me and Keep In Touch
Honored to Mentor Students
You're
Graduating . . .
What
Steps
Should
You
Take
Preparing For The Job Market
Resources for Finding the "Where"
The "Why".... Why Are You Doing This?

Pound the Pavement
Get it Done . . .
Practice Where You Want to Live
Shady Grove Eye and Vision Care
Thank You SCO !

New OD
Working World
- Human Resources
- Financial and Accounting
- Legal and Regulatory
- Customer Service
- Delegation and Time Management
33,250
Get as Much Done With Your Employer Negotiating Terms
and Using Internet Contracts as Possible
The Why
Self-Fulfillment
Personal Goals and Dreams
Family/Significant Others
Sustenance
Helping Others
Intellectual Fulfillment


Keep Your Eyes on the Prize
Don't Lose Sight of the "Why"......
Laser Focus ---- Ask if the Decision You Are About to Make Gets You Closer to Your "Why"
Preparing For The Clinic
CORPORATE
How Do You Make Your Money?
Glasses? Contact Lenses? Prof Fees?
What Are the Terms?
Lease?
What is the Competition Like?
What Does Corporate Do to Help Market?
Opportunity to Own More?
Can You Hire Doctors to Work There?
What Are Their Plans for Refracting Tech?
Debt is a Tool
Good Debt vs. Bad Debt

Bad Debt

Takes Money Out of Your Pocket

ex.. Credit Cards
Car Loans
Casino Markers
Mortgage

Student Loans
Good Debt

Good Debt is an Investment in Your Future and Your Family's Future
Think About Each Encounter From the Patient's Perspective in Order to Create an Experience For Them
Harold Glazier, OD
PCO 1963
But Don't Worry.......
Protect You AND Your Employer

Spells Out Terms and Expectations UP FRONT

If Employer Refuses Agreement (red flag)
California.......2 Doors
ODs cannot have any membership, proprietary interest, co-ownership, landlord-tenant relationship, or any profit-sharing arrangement in any form, directly or indirectly, with any optician
An optometrist’s name or practice cannot be linked in advertising or in any other manner with that of a commercial concern from whom the OD is leasing space.

ODs must own and have exclusive control of their practices.

Patient records are the sole property of the optometrist and are free from any involvement of anyone not licensed to practice optometry.

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